Monin Joan K, Zhou Lu, Kershaw Trace
Chronic Disease Epidemiology, Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
GeroPsych (Bern). 2014 Sep;27(3):115-127. doi: 10.1024/1662-9647/a000110.
Attachment theory is useful for understanding how couples cope with stress across the lifespan. This study used the the Actor Partner Interdependence Model to examine the extent to which attachment related to one's own (actor effect) and one's partner's (partner effect) depressive symptoms and marital satisfaction among older, married couples with a musculoskeletal condition. Pain and support were also examined as mediators. A group of 77 couples completed self-report measures as part of a larger study in which support was manipulated. Results revealed that, when one or both partners were insecurely attached, both partners reported greater depressive symptoms and lower satisfaction; however, pain and support were not significant mediators. Findings have implications for targeted, dyadic interventions to improve psychological health of couples coping with pain.
依恋理论有助于理解夫妻如何在一生中应对压力。本研究采用了行为者-伴侣相互依赖模型，以检验在患有肌肉骨骼疾病的老年已婚夫妇中，依恋与自身（行为者效应）和伴侣（伴侣效应）的抑郁症状及婚姻满意度之间的关联程度。疼痛和支持也作为中介变量进行了考察。作为一项更大规模研究的一部分，一组77对夫妻完成了自我报告测量，在该研究中支持因素受到了操控。结果显示，当一方或双方伴侣存在不安全依恋时，双方报告的抑郁症状更严重，满意度更低；然而，疼痛和支持并非显著的中介变量。这些发现对于有针对性的二元干预措施具有启示意义，有助于改善应对疼痛的夫妻的心理健康。
